HomeMy WebLinkAboutBuilding Permit 99-1223
City of Prior Lake
. Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 15990 FREMONT AVENUE NW
OWNER CONTR
PHONE NO. PERMIT # 99-1223
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
:spect:~rrect Wp for Reinspection B::e:::::g
DA TF RFr:FIVI='1
10/7/97
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Ap_
Permit No.
9f--/2.-Z-3
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
/2. SITE ADDRESS
1..51'?t!J ~A-:I /.Ju-P
kR6l1St'A RJ(J"6'h9
7. TYPE OF WORK Fireplace Ll Septic tJ
New Construction 0 Alterations 0 Addition Q
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES
Sq. Fl.
3. LEGAL DESCRIPTION
LOT
5
ADDITION
14. OWNER (Name)
'-Th~h,.f)r..
15. ARCHITECT (Name)
6. BUILDER (Name)
1.CATE
)0 - 8 "9C?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/l/ t.t/
IiZIS '/
12. NO. OF STORIES
BLOCK
/SI_
:?
1/ I 8V +T1t
13. TYPE OF CONSTRUCTION
PID 2P:; -2.t-j...Q - ()4 2.-()
-If, I I .J./J/1 )
, . - -
(Address)
..$'\ mF
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
'IL.f7- 1./7/7
(Address)
(Tel. No.)
(Address) (Tel. No.)
S6 ~ U!s~D ~ot3i'l:)
Deck 0 Re'roofj~ Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS
Width Depth
110. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have furnished information on this application which Is to the best of my knowledge true and correct. f also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the cily official or a designee may enter upon the property to perform needed insp~ns.
X --nt.)cfL -t;:.~,.nlA. J /t!)-,?-'1t;'
Signature License No. . Date..
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
FOR ADMINISTRATIVE USE
Front
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Back
Side
Side
R'.F C" A/A'"
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
o
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
",.~).6U
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Div~ion 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Amount Brought Forward ..................!I:
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
S U
City:
7J 1 S-
I.L'~
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... It.
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ 4'
Other ......................................... It.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
:~i~..........:~i~~.~.e:itWherPCfh-v .
By f~ _Date If) '/ 'i
,
Certificate of Occup ncy
Total Due .............................. $ 7/, . 00
Paid 7 If . o-v Receipt Nq. . 3{' <10 '3
Date /IJ/7/q q By J:lt:L-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may procee~Jequested. This document whe~
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Issued
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447.9850